9130 SW SUMMERFIELD COURT i E � �► � 1� 1� i 0 �
9130 SW SUMMERFIELD COURT
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,Add rass U _Lip Pev ir. No.
Permit charge Z) c-, 1-2
Connection fee
r)Wner _ � tif
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Paid by T �) L
Type of building ____ Date connected
/`� Inspection Fee
Ser.vic9 ra _e ---- —_ ,--
Contractor _ Paid by _ Date
ri ze of connection 9SeS0 rilant: �� Paid
BUILDING DEPARTMENT, TIGARD
JOHN E. REINHr1RD� PIUMBINC,IAC. PLUMBING PERMIT N�. I
P. 0.BO% 129
HEVIBEG', On_ ,EGO, 91132 _ — holder of a valid plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to br' installed in accordance with the plumbing code of
Tigard: Such installations require inspection by the (3ity Inspector who shall be notified not less than four
(4) hours prior to the time the installations are reed fur inspection. City of Tigard Business License required
fr;•,- ;,;I contractors and sub-contractors.
s� Dat
Address..1� e.
Owner TOTALPERMIT NO.'S
NUMBEtl OF AMOUNT (Office Uso Only)
TYPE OF P5RMIT ITEMS FEE ON EACH
--------------
r�25.00 ..2
Single Famil —1 both—eachf
___.
Duplex—Each 1 beth unit 25.00
rAdd{tlonal bathrooms—each
10.00 �02—
M01le Home 5 ace—each _ 15'00
INDIVIDUAL FIXTURE FEES --- --
1 to 5u `'tures in 1 juilding—each �_3.00
51 to 100 Fixtures In 1 building—each _ 2.50
101 to 200 Fixtu.as in t bulldin -oath 2'00 _
201 or more Fixtures in I bulldlny_eech 1.50
MISCELLANEOUS
Bulldin Sewer-1st 50 it. _,_ 10.00
Sewer—Tach edditional 100 1t,` 10.00 -
Water:!orvice to bulld_in 5.00
Private Water S stems—each 100 ft. 10.00_
OtherS ecl( :
PERMIT �/ . —: for Plumbing Inspection Phone 639.4191
96 State Q Plumbing Contractor By
TOTAL .4 RECEIPT NO. Issued By
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C ~� J D }/ Permit
JIVec ar,cal 1 es min a
Fee Oe
New +nsta;iationReplace C Relocation C," Addition ❑ Alteration 'u AL
�+ T7
CO Ni i R ACT A•0 A E. C.i OWNER
AZORs- .� Ift WOE ;C ADD RES9�i ,�a. qAutAtRt=i �•
?HONE APPLiCA.".
Neat !nut Rating iiyiU ?ec Haurti' Vent Siza •_,' _ clue Size —
FUEL OIL G GAS ELECT OTHER
ST>`Y iii 0. FCL 3TEM NO. EZ
For Isu:.n:e of ?omit 3.00 toilers Over 50 HP 25.CL
New - Under iG0 000 STU 4.00 Airliandling iG,000 CF"+S 3.0C
New - Over +00000 BTU 5.00 Air Nandi". Over '10,000 CFM S.CC
Floor Furnace 4.00 E a orative Caoiar 3.0=
Vic': - Fico. - Suspended 4.GG i Vcr,t Fan 2.Ot
Insta:; Vens 2.GG tient System 3.Ct
Re air- '-Scat & Coolina 4.00 Hood 3.0�
toilers Under 3 NO 4.00 Domestic incinerator ' S.CC
Boilers 3 to 15 ii? i 7,50 Comm. incinerator 20.Ct
Boilers i5 to 3C HP 1 10.00 Ot-ier Not Listcd ► 3.00
Boilers 30 to 50 H? -
i NSPcCTOR'S COs'r WEN-M.
C,,—,y BUSINESS LIC—ENSE REQUiRED FOR-AL: CONTRACTORS OR SUS-Qi NT HACTORS
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APPROVED 3Y DAT c iSSUED aY DATE
RECEIPT NO.
77H = Siars't:rs o` A�?li G�
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=- SEWER PERMIT N? 13755
U
Unified Sewerage Agency CITY OFTigard DATE _ 8-25-77__
of Washington County —' _
. :
PHONE :__639-3101
OWNSRT .D. C.
OWNER ' S ADDRESS : - —
TYPE OF INSTALLATION:
)OX BUILDING SEWER BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY,
X�x C SINGLE FAMILY � COMMERCIAL
X)oX NEW
EXIST . (PRIOR 10 7- 1-70 ) 13
M'JLT . RES. ❑ INDUSTRIAL
FIXTURE UNITS _
DWELLING UNITS
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL. RULES
AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CALLING FOR
INSPECTION, PLEASE REFER TO THE PERMIT NUMBER . THIS APPLICATION
EXPIRES IN ONE-HUNDRED AND 74ENTY ( 120 ) DAYS. THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR.
FEES:
y
PERMIT FEC 25.
CONNECTION CHARGE
SIDE SEWER INSTALLATION -- — -`
ISSUED BY
OTHER
TOTAL s 625.
DATE
APPLICANT
SEWER PERMIT M 13-055
ADDRESS OF STRUCTURE 9130Syerfield Ct•
TA}: MAF —
TAX LOT SYETEM fanno crack _
LOT _ 422_ BLOCK — OF---
APPROVED BY
DATE ISSUE BY DATE
bldg. #1665 --
REMARKS__
CITY OF TIGARD
ORDINANCE #77--71
PARK SYSTEM DEVELOPMENT CHARGE
DA-11 B-25-77 ESTIMATED SALES PRICE $ 522000.
APPLICANT NAME T.D.C. TELEPHONE #
JOB ADDRESS 9130 SW Summerfi6ld Ct. EiLDG . PERMIT # 1665_
AMOUNT OF FEE FOR P. D. C . $100.
DESCRIPTION OF IMPROVEMENT
EXEMPTIONS - PER ORDINANCE #77-71
FEE RATES:
A. Single family dwelling unit under j40, 000- --------------
` �. 0
B. Single family dwelling unit over: $40, 000. .-------------- X00.
C. Mobile Home Court Space (New Development) --------- -- -- 0. 00
D. Multi-Family dwellings--per unit----------------------- 60. 00
CONSTRUCTION IS LOCATED ON /S:�,l. N.E. SIDE OF S.W. 0'ACIF1C
HIGHWAY . N.E . is Park District #I . .W. is�Pa—T-0is ric
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CITY OF TIGARD
ORDINANCE #77-26
STREET SYSTEM PEVELOPML"NT CHARGE
DATE • �_2;�77 ESI'IMP'TED SALES PRICE S 52, 000.
APPLICANT NAVIE_ T_n_ r._ _TELEPHONE #
JOH ADDRESS____ai_M cI,I_-ummezf; pt ,I rt._ .—.--BLDG. PERMIT #_ 1665
AMOUNT OF FEE FOR S. D.
DESCRIPTIO) OF IMPROVEMENT
EXEMPTIONS -PER ORDINANCE #77-26_� M _
FEE RAPES:
A. Single family dwelling unit under $60,000. ---•-----•-��.$300. 0
B. Single family dwelling unit over $60, 000. ---- -• - -- $4W.—O0
C. Mobile Home Cour: Space (New Development)------•- 51E0. 110
D. Multi-Family Dewllings--per unit-------------------- $240.00
E.. Commercial , Indus;;r.ial & Institut:ional (Park. Space) $ 50. 00 each
F. Single family unit under $40, 000, ------------------ $259. 00
i
�\tib BUILDING PERMIT APPI-CATION 11TTIGAR.� DATE k-_- .._77 Iii:z5
t9--
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THF WORK HEREIN INDICATED BUILDERPHONE _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE__
T•U,I. • I t:. LOT NO..____
OWNER JOB ADDRESS 19180 Stu' :jum ilu k t ialci HOM•-ADDRESS
ARCHITECT
BUILDER 89me ADDRESS ENGINEER
p — DESIGNER
STRUCTURE LJNEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEM1-OLITION
'Q3ESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑ OND ❑MOVING ❑CONDITIONAL USE ❑DF,IGN REVIEW ❑COUNCIL APPROVED C_JSr3NF _
0� U"ANCY _LAND USE ZONE— I?' BLDG.TYPE ZONE—' PLAN CHECK BY,e I' I'L`' HEAT `Y
rw—istwe same as 1b613 ummurI iuld Lent;
fremw dwellin 9 u %ttractioc.i lt®re(je 3 bedroom 3 bath
OCC.LOAD_ FLOOR LOAD �_ GyT NO.,gjORIE _�1H�� U NO•BEDROOMS ,� _�[p _3 E(���U+
BUILDING DEPARTMENT
I SET BACKS FRONT 20 REAR Lid LEFT SIDE b RIGHT SIDE 6'
Permit 1CJli.Ill, --------- —__.— ---- —_—
THIS PE'TMIT IS ISSUED S13RJFCT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check t1•!J'I REGULATION, AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WIL I_ BE DONF IN ACCORDANCE WITH THE PLANS AND SPECIFV,ATIONS AND IN COMPLIANCE WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE O'- THIS PERMIT DOES NOT WAIVE
RESTRI'.TIVF COVENANTS. CONTRACTOR AND SUB CONTRACTONS TO HAVE CURRENT CITY BUSINESS
State Tax 7,1711 LICENSE.. SEPAfIATE PERMIT$,.REQ14IR6E�iFOR SEWER, R, UMBIN-u AND HEATING.
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Total 16.30 OA Park Devl-,lapment Chtarcle 5100,
By Utij
fy APr44CANT OR AGENT --- — ------- -�--
Approved IFT Receipt No.
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DATE INSP. TYPE INSPECTION PEMARKS PLUMBING &A(TE
q_ �' S Contractor
--
u-i� r t c/1 P u ,tiG V Permit P116
10- 4-11 �� - Rough-in - -
12. �.�� `�k' Fixture i-
12-I -(,-b,s -iooltUUF- i) 2- )( 10 Final
� 4w ✓n .�„ 4 HEATING
-c. �_ Contractor -
dJ ' 2 5
n 3(�1c � Permit No. 2-
Gas or Oil
Rough rn----
lZ-z2 7 0)( _ -- - final ---
�-
'"k-14A S I3.F�.e.AI -Io _ SEWER_--
,C3/� T��i ✓� ° 7D C. Final - -----
-�E'� +4 "4 - •v tl/�=L — _ DRIVEWAY .-..
Final -__ - --- - ---
Stor.n Drainage
C (Rain Drain) Final
Sidewalk
Curb&Street Final
Appioach
BLDG DEPT FINAL TEMPORARY CERTIFICATE OCCUPANCY —�
CERTIFICATE OCCUPANCY Final— --_--
Landscaping
C- Zoning Final
I�uii_ �f; �'c11f�1111 ,�1'f�Lf�ftTlON i iUz. ` [W ,�`1r1_ �J° � '-
THE UNDEPSIGNED HUIEDY AFi'LIFS FOR A PEnkl!T FOR THE WOnI< HLnEIN INDICATED ,
O!Z AS SHOWN AND APPIIOVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNEn PHONE 3� .3 1 1 ,
OIV�!Ct1 �12�a-Etn� � p,ti}C�DnfnnngsqI t��iirr>rrt�r'-�IEls6 '(✓#- nUl[-nrnPf+oME
ENGINELII
^^__ Clt "n�tin t=CT Dr-SIGNEfl
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STnUCTUnC CTw nEA!ODEL ❑ADDITION ❑nEPAIn ❑nENEWAI_ ❑FIREDAMAGC ❑DEMOLITION
RCS,DEI,CE nC—Iovm ❑EDUCATIONAL ❑GOWT ❑n[LIGICCUSQPATIO ❑CAn POnT QGAnAGE u SrOIlAGE❑SLAG ❑FENCE
_[1ftON_O II QmOVING ❑CONDITIONAL USE ❑DESIGN nwirW ❑COt1NCIL APPIIOVCD _ _SIGNS
CCC:^Nk':Y�t.ANO USE 7-ONE--2��BLDG.TYPC_ �FinE 20N& Pt-AN CHECK RY HEAT.C�S!_
a I 1 ani
nrC. _nA[) FLOOn LOAD HEIGHT NO.STOnIES AnEAC �al VALUF
F— IlIJ_LC11I.G t)LPJ►I17FAI P;[ SET RACK; FRONT �a I'rAFi 1 LEFT SIO MIGHT SIDE -
� vm't
--w�1� THIS t�UIMIT IS ISSUED SUtIJCf t:
:f TO Tfi 'DLGULATIONS CONTAINED IN THE WILDING CODE, ZONING
N-m C Teck IIEGULATIONS AND ALL APPt.ICARLF. CODES AND OIIDINAr4CC,, AND IT IS HEPEBY AGREED THAT TfIE
r PJORK WILL tic nUNI_ IN ACCOIIDANCE vwm THE PLANS AND SPECIFICATIONS AND iN CO.IPL IANCC WITII
f l{�corJ��uf Ir ALL APPLICABLE CODES A0O CIIGINANC!-S. THE ISSUANCE OF THIS PERMIT DOES NCr WAIVC-
RESTRICTIVE COVCHANTS. CG,ITRACTOR Ar`iD SUB CONTnACTOIIS TO HAVE CURnENT CITY B11SWES'z
L!CENSC-. SCI LATE PL%ANIITS nEQUfn[D FOR SEWER, PLUMBING AND HEATING-
...........................
EATING,
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